HomeMy WebLinkAboutPermit Mechanical 2003-3-26
_- CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00209
ISSUED: 03/26/2003
APPLIED: 03/26/2003
EXPIRES: 09/2612003
VALUE:
..
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 852 DIAMOND ST
ASSESSOR'S PARCEL NO.: 1703342401406
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Install gas furnace and AC
TYPE OF USE: New
Residential
O~\~[\.'\ REQUIRED PARKING
",'I. ,\\-~ ~
Overlay Dist: .;",,16 o<;\v :-...\0 "Total:
# Street Trees .,\ ,1601.0<.0<:$ 0",16 n.l;;)r::J Handicapped:
'/).... 'if S" " .
Paved Drive Rqd: 0"" 'S'16 ~0'" ~ ~ ~16'i:Compact:
,,16<:$ .>.'0'\ ,\): O'r 16 ,\): ~16
% of Lot Co~~age:[\.16\) 0",16 ~'<;\ 1\ ~ ~'<;\o 'i;;0<;\
. _~ ' \~c, ~O~~16' ~~ ~.o~o,16:~16 \16:~,~,c.'3'
IPUBLIC IMi>RO\;Ej~II;;'Nis'Ii'~<;\ ~o\16~,,,~1t:t''\.
'v ,'.\j- 10" ,,>'1 [\.16" ~<;\ ^"
_,o~'~ a g ~V" 16~ \~I!lewlilk Type:
,- O~"-{o~ 16G 0 !?,r::J"
\<;\ f!)r::J. . ~Q, ~ <. 'S'16 \c:pownspoutslDrains
I;;)CS iJ>\~ <.\0 [\.0'
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Owner: GARY CARRICK
Address: 852 DIAMOND ST SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
GARY CARRICK
License
25~1!l~'f.
. ~y..~ ^ ~t;)"\
- '~ ~.... ._1
I BUILDING INFeRMA1I.16N...\~
III!. II ""'
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~. # o~~~~'\~ 'r-~t;)r;s
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VN'\ ~,\>(..r;s ~d~~~~'
~ ~~ ^ ~"""ype:
c,~~" ergy Path:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
Square Footaee
1 of 2
Phone Number: 541-726-1656
Expiration Date
12/2312003
Phone
541-747-7445
541-726-1656
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport:
Sq Ft Other:
Impervious Surface Area:
Value
Date Calculated
.
.
CITY OF SPRINGFIELD'
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00209
ISSUED: 0312612003
APPLIED: 03/26/2003
EXPIRES: 09/26/2003
VALUE:
Total Value of Project
I Fees Paid I
Fee Description Amount Paid Date Receipt Number
-Mechanical Issuance Fee- $10.00 3/26103 1200200000000000891
+ 10% Administrative Fee $4.50 3/26/03 1200200000000000891
+ 7% State Surcharge $3.15 3/26/03 1200200000000000891
Air Handling Unit Up to 10,000 $8.00 3/26/03 1200200000000000891
Appliance Vent $6.00 3/26/03 1200200000000000891
Furnace - up to 100,000 btu $12.00 3/26/03 1200200000000000891
Minimum/Adjustment Mechanical $19.00 3/26/03 1200200000000000891
Total Amount $62.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Reouired Insoections I
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certity that all
information hereon is true and correct, and I further certify that any and all work pcrformed shall be done in accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pcrtaining to the work described
herein, and that NO OCCUPANCY will be made of any structure without pcrmission of the Community Services Division,
Building Safety. I further certity that only contractors and employees who are in compliance with ORS 701.005 will be
used on this project.
I further agrcc to ensure that all required inspcctions are requested at the propcr time, that each address is readable from
the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site
atalltimes:~:~7~fr~ J ~y
Owner or ~:~ors Signature DatY
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00209
COM2003-00209
COM2003-00209
COM2003-00209
COM2003-00209
COM2003-00209
COM2003-00209
Payments:
TWe of Payment
Check
Paid By
MARSHALLS
Receipt #: 1200200000000000891
Date: 0312612003
Description
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Appliance Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Confirm No
djb
Page 1 ofl
3/26/2003 !
1:33:56PM .
I' .
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
12.00
8.00
6.00
19.00
10.00
3.15
4.50
$62.65 .
Amount Paid
62.65
$62.65
How Received
In Person
Pavment Total:
cR.eccipt.rp1